A. DAĞTEKİN, H. KARABAĞ, E. AVCI, A. NAYCI, C. BAĞDATOĞLU

A rare complication with ventriculoperitoneal shunt in pediatric cases

Ventriküloperitoneal şant cerrahisi pediatrik çağda görülen hidrosefali olgularının tedavisinde yaygın olarak kullanılan bir yöntemdir. Şant kullanılan hastalarda en sık görülen komplikasyon infeksiyon ve şantın tıkanmasıdır. Peritoneal kateterin yer değiştirmesi ise oldukça nadir görülen bir komplikasyondur. Bu çalışmamızda peritoneal kateterin sağlam karın duvarına ve anüse olan iki farklı migrasyonunu sunmak istedik. Pediatrik çağda ventriküloperitoneal şant takılan olguların ilgili literatür ışığında uygun takip ve tedavisi tartışılmıştır.

Pediatrik olgularda ventriküloperitoneal şantın nadir komplikasyonu

Ventriculoperitoneal shunt surgery is the commonly used technique for the managment of hydrocephalus in pediatric cases. This procedure is associated with various complications. The most common complications are shunt infection and obstruction due to the ventriculoperitoneal shunt device. Migration of the peritoneal catheter is one of the rarest complications of the ventriculoperitoneal shunt procedure. We describe two cases of migration of a peritoneal catheter with regard to the spontoneaus extrusion of the distal portion of the ventriculoperitoneal shunt through the anus and through the intact abdominal wall. The proper follow-up and management with acceptable diagnostic tools are discussed in light of related literature for the present cases.

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